Management of Care / Safe Effective Care Environment

Question 1

shocking events that occur in health care, such as surgery on the wrong body site, mismatched blood transfusion, a client’s suicide while hospitalized or foreign objects left in the client’s body after an operation [. . .]

Answer 1

Sentinel events

Question 2

Nurses play a vital role in protecting clients from [. . .]

Answer 2

failure to rescue

Question 3

Nurses must ensure that all appropriate precautions are being followed for the client receiving what kind of radiation therapy [. . .] .

Answer 3

brachytherapy to prevent radiation contamination

Question 4

Nurses play a vital role in developing or assisting with developing an individualized plan of care for the client to [. . .] .

Answer 4

prevent falls

Question 5

There are three categories of restraints: [. . .] , physical and seclusion.

The nurse must understand when restraint use is appropriate. A prescription for restraints must include specific details.

Answer 5

chemical

Question 6

A provider’s order for restraints can [. . .] in advance for “what if” situations or “as needed” (i.e., PRN)

Answer 6

NEVER be written

Question 7

Nurses play a key role in preventing what type of infections [. . .]

Answer 7

hospital acquired infections

Question 8

[. . .] is the single most effective way to prevent the spread of microorganisms.

Answer 8

hand hygiene

regular and correct

Question 9

Nurses need to know how to correctly [. . .] and evaluate transmission-based precautions.

Answer 9

implement

Question 10

Nurses must [. . .] for the client on the correct use of antibiotic therapy

Answer 10

provide or reinforce education

Question 11

Nurses must be able to recognize what an [. . .] is and when to complete an incident report.

Answer 11

incident

Question 12

Nurses’ role in a disaster is to [. . .] clients according to their injuries and chance for survival.

Answer 12

triage

remember the colors go with traffic lights

white, green, yellow, red, black

Question 13

Clients have the right to be free from [. . .] restraints used for the purpose of discipline or staff convenience.

Answer 13

physical or chemical

Question 14

A [. . .] restraint can be applied before a doctor’s order is given, but the nurse must contact the HCP immediately after the restraint is applied to obtain the order.

Answer 14

soft wrist

Question 15

The most common HAI (hospital acquired infection) is caused by a “staff” infection – one that is transmitted to a client from a [. . .]

Answer 15

health care worker or staff member

Question 16

[. . .] are infections clients get while they are receiving health care for another condition, including a different infection

Answer 16

HAIs (health acquired infections)

Question 17

[. . .] is the single, most effective way to prevent the spread of microorganisms.

Answer 17

hand hygiene

regular and correct

Question 18

[. . .] are a set of infection control practices used to prevent the transmission of bloodborne and other pathogens from recognized and unrecognized sources

Answer 18

Standard precautions

Question 19

[. . .] are additional infection control practices implemented for clients who are known or suspected to be infected or colonized.

Answer 19

transmission-based precautions

The presence of bacteria on a body surface (e.g., the skin, mouth, intestines or airway) that doesn’t cause active disease with infectious agents

Question 20

[. . .] will supplement standard precautions for clients with documented or suspected infection (or colonization) with highly transmissible or epidemiologically important microorganisms.

Answer 20

transmission-based precautions

Question 21

Hyperventilation may lead to [. . .]

Answer 21

respiratory alkalosis

Question 22

Upon entering a client’s room, the nurse finds the client lying on the floor. What is the first action the nurse should implement [. . .]

Answer 22

Assessing if the patient is responsive

Question 23

Horizontal and Vertical evacuations are used during [. . .]

Answer 23

fire incidents

Question 24

Ginger, Garlic, Ginkgo Biloba all related to bleeding so should be avoided if you’re taking [. . .]

Answer 24

warfarin

Question 25

used in alternative/complementary medicine to relieve constipation [. . .]

Answer 25

Aloe

Question 26

Bacterial meningitis with meningococci requires [. . .]

Answer 26

droplet precautions

Question 27

Viral meningitis in adults, Hepatitis C, and Lyme disease are not spread by droplets and require only [. . .]

Answer 27

standard precautions

Question 28

In infants and young children, viral meningitis requires [. . .]

Answer 28

contact precautions

Question 29

Signs and symptoms can include: an inappropriate, flat, or blunted affect, focus on their inward world instead of reality, looseness of associations, echolalia, neologisms, word salad, delusions, hallucinations, and the inability to use abstract thinking skills. [. . .]

Answer 29

schizophrenia

Question 30

manifests when a patient alternates between mania and depression [. . .]

Answer 30

Bipolar disorder

Question 31

Signs and symptoms include anger and rage when appropriate, hypersensitive, and unable to relax [. . .]

Answer 31

paranoid personality disorder

Question 32

may be performed either by washing hands with soap and water or by using an alcohol-based waterless antiseptic agent [. . .]

Answer 32

hand hygiene

Question 33

CDC guidelines when hands are visibly dirty, soiled with blood or other body fluids, before eating, and after using the toilet [. . .]

Answer 33

call for washing hands with soap and water

Question 34

can be used before, after, and between direct patient contact unless hands are visibly soiled [. . .]

Answer 34

alcohol-based waterless antiseptic agent

Question 35

patient on haloperidol complains of dry mouth, weight gain, and muscle stiffness. What adverse effects is this patient experiencing and what medication will the psychiatrist give him? [. . .]

Answer 35

Extrapyramidal symptoms (EPS); diphenhydramine

Question 36

what precautions are appropriate to prevent the spread of impetigo [. . .]

Answer 36

Contact precautions

Question 37

impetigo is spread through contact with the skin, not thru [. . .]

Answer 37

respiratory droplets

Question 38

with every patient which precautions should always be followed [. . .]

Answer 38

standard precautions

Question 39

what type of transmission precautions are used with pertussis [. . .]

Answer 39

Droplet precautions

Question 40

what is the name of the reactivation of the varicella-zoster virus (VZV) [. . .]

Answer 40

Herpes zoster, also known as shingles

Question 41

Active lesions are infectious, through directis spread through airborne means and by direct contact with the lesions [. . .]

Answer 41

herpes zoster

Question 42

varicella (chickenpox)Herpes zoster **MeaslesSARS have what kind of transmission precautions [. . .]

Answer 42

airborne

Question 43

used when managing central line intravenous medication administration, wearing sterile gloves in the operating room, and inserting an indwelling Foley catheter [. . .]

Answer 43

Surgical asepsis, or sterile technique

Question 44

is used when administering an intramuscular injection, bathing a neonate, and when emptying a urinary drainage bag [. . .]

Answer 44

Medical asepsis

Question 45

is used when managing central line intravenous medication administration, wearing sterile gloves in the operating room, and inserting an indwelling Foley catheter [. . .]

Answer 45

Surgical asepsis

Question 46

what type of IV requires the application of a tourniquet proximal to the targeted site [. . .]

Answer 46

Inserting a peripheral IV

Question 47

Standard tests to establish a positive Mantoux test include [. . .]

Answer 47

chest x-ray and sputum culture

Question 48

A positive result indicates the patient has been exposed to TB and only confirms the presence of antibodies [. . .]

Answer 48

Mantoux intradermal skin test

Question 49

for the Mantoux intradermal skin test the patient should return in how long [. . .]

Answer 49

48-72 hours to have the site assessed for induration

Question 50

Why is it common to assess for suicidal ideation by asking, “Do you have thoughts of wanting to harm or kill yourself? [. . .]

Answer 50

This question covers both suicidal and parasuicidal gestures

Question 51

a diuretic used for a reduction in increased intracranial pressure [. . .]

Answer 51

Mannitol

Question 52

what kind of transmission precautions is Lyme disease [. . .]

Answer 52

Standard precautions

Question 53

Varicella requires a patient to be placed on [. . .]

Answer 53

airborne and contact precautions until the lesions are dry and have crusted

Question 54

Mumps requires what kind of transmission precautionsss [. . .]

Answer 54

droplet precautions

Question 55

what transmission precaution requires the nurse to wash their hands and use additional personal protective equipment (PPE) as appropriate [. . .]

Answer 55

Standard precautions

Question 56

Contact precautions require the nurse to [. . .]

Answer 56

wear gloves and a fluid resistance gown while in the room

Question 57

Mumps requires what kind of transmission precautions [. . .]

Answer 57

droplet precautions

Question 58

what transmission precaution requires the nurse to wear gloves and a fluid resistance gown while in the room [. . .]

Answer 58

Contact precautions

Question 59

what transmission precaution requires the nurse to wear a surgical mask [. . .]

Answer 59

Droplet precautions

Question 60

what transmission precaution requires the nurse to wear an N95 respirator during patient care [. . .]

Answer 60

Airborne precautions

Question 61

Bowel sounds less than 5 per minute may indicate [. . .]

Answer 61

blockage and should be evaluated

Question 62

may indicate blockage and should be evaluated immediately [. . .]

Answer 62

bowel sounds less than 5 per minute

Question 63

often experience increased confusion during evenings (sundowning effect) and may not be able to effectively communicate their needs [. . .]

Answer 63

Patients with dementia

Question 64

Full-length bedrails when used to prevent the patient from getting out of bed are [. . .]

Answer 64

physical restraint

Question 65

What color is used on a canister with Carbon Dioxide [. . .]

Answer 65

Gray

Question 66

What color is used on a canister with Nitrous Oxide [. . .]

Answer 66

Blue

Question 67

Ocular chemical injuries are considered a [. . .]

Answer 67

medical emergency

Question 68

Visual acuity testing should not precede [. . .]

Answer 68

eye irrigation

Question 69

It is important to teach parents that electrical outlets should have plug covers in place by the time their child is [. . .]

Answer 69

7-months-old

Question 70

When applying restraints due to behavioral health reasons (violent or self-destructive behavior), a written or verbal order must be obtained [. . .]

Answer 70

immediately

Question 71

when applying restraints due to patient safety issues (medical/surgical clients), not behavioral reasons. Order must be obtained within [. . .]

Answer 71

12 hours

Question 72

A time limit order is necessary for those in restraints for violent or self-destructive behavior in adults. The time limit is [. . .]

Answer 72

4 hours

Question 73

is misconduct or practice that is below the standard expected of an ordinary, reasonable, and prudent person [. . .]

Answer 73

Negligence

Question 74

after the cardiac catheterization the nurse should have checked the patient’s distal pulse [. . .]

Answer 74

immediately

Question 75

Risk factors for falls include age over [. . .]

Answer 75

65 years, documented history of falls, postural hypotension, and unfamiliar environment

Question 76

what are some medication regimens that are a risk factor for falls [. . .]

Answer 76

diuretics, tranquilizers, sedatives, hypnotics, and analgesics

Question 77

what do black-colored triage tags on the incoming victims mean [. . .]

Answer 77

severe medical crisis, and they have little chance of survival

Question 78

What color tags represent - IMMEDIATE - highest priority treatment/transfer. These patients cannot survive without immediate treatment but have a high chance of post-treatment survival [. . .]

Answer 78

Red tags

Question 79

What color tags represent - DELAYED - medium priority. No immediate danger of death, stable but will still need hospital care [. . .]

Answer 79

Yellow tags

Question 80

What color tags represent - MINOR - lowest priority - those with minor injuries, ambulating (“walking” wounded) [. . .]

Answer 80

Green Tags

Question 81

What color tags represent - EXPECTANT - keep comfortable, pain medications only until death. These are patients with injuries so extensive that they will not be able to survive with the best available care or those dead already [. . .]

Answer 81

Black Tags

Question 82

An adventitious emergency is one that occurs as the result of some external force like [. . .]

Answer 82

a cyclone, tsunami, or tornado

Question 83

Bioterrorism is an example of an [. . .]

Answer 83

adventitious crisis

Question 84

what type of crisis emerge when there is a disruption of equilibrium or situation associated [. . .]

Answer 84

Situational crises

Question 85

what vaccine is recommended for all pregnant women and is safe for this population [. . .]

Answer 85

influenza vaccine

Question 86

The influenza vaccination does not contain [. . .]

Answer 86

live virus

Question 87

After a motorcycle or car accident and a possible head injury first intervention should be [. . .]

Answer 87

place a c-collar on patient’s neck

Question 88

what type of report helps gather data that will help promote quality care in the future and increase patient safety [. . .]

Answer 88

incident reports

Question 89

what type of common herbal remedy is used to treat occasional insomnia but may interact with some medications [. . .]

Answer 89

Valerian root

Question 90

what is a popular herbal tea used to induce labor and expedite the shrinking of the uterus post-partum [. . .]

Answer 90

Raspberry tea leaf

Question 91

what is a commonly recommended amino sugar used to promote joint health [. . .]

Answer 91

glucosamine

Question 92

which is an herbal supplement sometimes used to induce abortion in the early first trimester or to induce labor after a woman is forty weeks pregnant [. . .]

Answer 92

Black cohosh

Question 93

what occurs when the edges of a surgical site rupture [. . .]

Answer 93

Wound dehiscence

Question 94

Patient or visitor statements in quotation marks should be part of what report [. . .]

Answer 94

incident report

Question 95

when it comes to reporting incidence reports what is the timeframe [. . .]

Answer 95

highly recommended that the event be reported after it occurs to ensure accuracy; however, event reporting should be completed as soon as possible, which may even include the next day

Question 96

Immunization for pertussis is only indicated in [. . .]

Answer 96

children

Question 97

Adults aged 50 years or older tend to have multiple chronic illnesses, in addition to an aging immune system therefor which vaccine is highly recommended in this age-group [. . .]

Answer 97

influenza and pneumococcal vaccine

Question 98

The right brake on your client’s wheelchair is not holding as strong as the left brake. What is your priority action? [. . .]

Answer 98

immediately remove the wheelchair from use

Question 99

Infected droplets spread pertussis, therefore when providing care the nurse must wear [. . .]

Answer 99

surgical mask

Question 100

with droplet precautions the door may remain [. . .]

Answer 100

open

Question 101

Transmission-based precautions for pertussis include [. . .]

Answer 101

droplet precautions such as wearing a face mask and appropriate hand hygiene

Question 102

Keeping the patient’s room door closed and maintaining negative air pressure are appropriate interventions for [. . .]

Answer 102

airborne isolation

Question 103

[. . .] is a legal process by which a client or the client’s legally appointed designee has given written permission for a procedure or treatment

Answer 103

Informed consent

Question 104

Informed consent for minors is obtained from parent or legal guardian except in [. . .]

Answer 104

emergency situations

Question 105

is an involuntary admission for a specific time period to prevent dangerous behavior [. . .]

Answer 105

Emergency involuntary admission

Question 106

[. . .] describes the client who is not able to understand the consequences of decisions.

Answer 106

Legally incompetent

Question 107

The Bill of Rights for Psychiatric Clients includes the right for clients to access their medical records unless [. . .]

Answer 107

doing so would be detrimental to their health

Question 108

To reduce the risk of infection transmission, an infant with diarrhea of undetermined origin should be placed in [. . .] until a causative organism can be identifiedHowever a negative pressure room is not needed because airborne precautions::which type of precautions are not required with diarrheal disease.

Answer 108

private room

Question 109

Because the 16-year-old has given birth, she’s considered an [. . .] and may legally consent to the treatment.

Answer 109

emancipated minor

Question 110

The removal of lymph nodes increases the risk of lymphedema, which can lead to an [. . .]

Answer 110

infection

Question 111

[. . .] assists the surgeon by providing appropriate surgical instruments and supplies and maintaining strict surgical asepsis

Answer 111

scrub nurse

Question 112

Fresh flowers and fruit are restricted for [. . .] clients

Answer 112

neutropenia

Question 113

The nurse should question the use of a local anesthetic agent with [. . .] on the hands or feet::which body parts because its a vasoconstrictor and can cause ischemia and gangrene of extremities. The nurse should suggest that the intern use bupivacaine without it as the local anesthetic agent.

Answer 113

epinephrine

Question 114

Which room is associated with airborne precautions [. . .]

Answer 114

negative pressure room

Question 115

[. . .] — also known as inducing labor — is prompting the uterus to contract during pregnancy before labor begins on its own for a vaginal birth.

Answer 115

Labor induction

Question 116

You can not delegate [. . .] since this skills require nursing judgement

Answer 116

administering medication or oxygen

Question 117

Assessing [. . .] and administering medications or oxygen::performing these 2 nursing actions are skills that require nursing judgment and therefore CAN NOT BE DELEGATED

Answer 117

pedal pulses

Question 118

Very important for informed consent, this doctor does not obtain informed consent [. . .] only the surgeon or person providing the care to the client

Answer 118

anesthesiologists

Question 119

Restraints should not be used without an order not even [. . .]

Answer 119

soft restraint

Question 120

Syrup of [. . .] is rarely used today in the treatment of ingested substances due to the potential for aspiration. It is contraindicated in cases of arsenic poisoning, seizures, and the ingestion of petroleum or corrosive substances.

Answer 120

ipecac

Question 121

The cause of [. . .] is cord compression::when this becomes compressed, which may be relieved by moving the client to one side or another::and from where.

Answer 121

variable decelerations

Question 122

If the [. . .] are not relieved by position changes, oxygen should be initiated, but the rate should be 8 to 10 L/min.

Answer 122

variable decelerations

Question 123

The greatest risk to the client during acute alcohol withdrawal is [. . .] . Therefore, the nurse should first administer lorazepam::this drug to control or minimize seizures

Answer 123

seizures

Question 124

The acronym RACE promotes the safest sequence of response to fire. The letters stand for: [. . .] the client from the scene, Activate::A the alarm, Contain::C the fire, and Extinguish::E the blaze.

Answer 124

Remove

Question 125

Wearing gloves whenever exposure to blood or body fluids is anticipated as a [. . .] recommended by the Centers for Disease Control and Prevention

Answer 125

standard precaution

Question 126

[. . .] is keeping one’s promises and never abandoning a client entrusted to care without first providing for the client’s needs.

Answer 126

Fidelity

Question 127

[. . .] respects the rights of clients or their surrogates to make healthcare decisions.

Answer 127

Autonomy

Question 128

Nonmaleficence is avoiding causing [. . .]

Answer 128

harm

Question 129

[. . .] involves giving each his or her due and acting fairly

Answer 129

Justice

Question 130

[. . .] may result from procedures that involve the use of instruments (such as catheterization, cystoscopy, and urologic surgery) or from hematogenic infection.

Answer 130

Pyelonephritis

Question 131

The most important nursing intervention for [. . .] is to increase fluid intake to 3 L/day.

Answer 131

acute pyelonephritis

Question 132

[. . .] should include data that the nurse obtains only by hearing, seeing, smelling, or feelingThe nurse should record findings or observations precisely and accurately

Answer 132

Documentation

Question 133

The nurse asks the occupational health nurse when test results will show positive or negative for HIV infection and what is an appropriate answer [. . .]

Answer 133

Accurate results will be obtained by testing at 3 months and again at 6 months

Question 134

Any type of blistering lesion, such as smallpox, requires extreme care to prevent exposure. Transmission-based precautions for smallpox includes [. . .] precautions

Answer 134

airborne, droplet, and contact

Question 135

[. . .] , Situation, Background, Assessment, Recommendation, and Read Back (ISBARR) are the components of the communication tool used to provide critical client information to the physician or healthcare provider by the nurse.

Answer 135

Identify/Introduction

Question 136

Clients who have had long-term multiple exposures to latex products, such as would occur with six previous surgeries and recoveries, are at increased risk for [. . .]

Answer 136

latex allergies

Question 137

The appropriate procedure is to discard uncapped needles in [. . .] . To reduce the risk of accidental needle sticks, the nurse should never recap a needle

Answer 137

puncture-proof, leak-proof container

Question 138

Children with [. . .] commonly develop an allergy to latex

Answer 138

spina bifida

Question 139

Administer GI motility medication called [. . .]

Answer 139

Metroclopramide

Question 140

The extremity should be elevated to reduce [. . .] and improve blood flow.

Answer 140

pain

Question 141

With [. . .] , the client can NOT perform active movement, while pain occurs with passive movement

Answer 141

compartment syndrome

Question 142

A child with moderate dehydration, described as a loss of 50 to 90 mL/kg of body fluid, would have [. . .] , gray skin color, increased pulse rate, and poor skin elasticity

Answer 142

oliguria/c

Question 143

Sunken eyes are a sign of [. . .]

Answer 143

dehydration

Question 144

warm, tender, reddened area on the right calf is pathognomonic for [. . .]

Answer 144

signs of deep vein thrombosis DVT

Question 145

A client is readmitted to the facility with a warm, tender, reddened area on the right calf. Which contributing factor should the nurse recognize as most important?

Answer 145

recent pelvic surgery

Question 146

An ANC of 500 to 1,000/mm3 (0.5 to 1 × 109/L) indicates

Answer 146

moderate risk of infection

Question 147

Fifth disease is caused by infection with parvovirus B19, which is transmitted by

Answer 147

respiratory secretions

(e.g., saliva, sputum, or nasal mucus) when an infected person coughs or sneezes. Droplets

Question 148

The primary goal of an aggression management program is to prevent

Answer 148

violence

Question 149

Group-A beta-hemolytic streptococcal infections are spread through

Answer 149

droplets

Question 150

Psychiatric diagnosis is considered to be the most reliable factor for

Answer 150

suicide

specially for those with depression, schizophrenia, and substance disorders

Question 151

tag is for clients who require immediate medical attention to survive

Answer 151

red tag

Question 152

tags are given to deceased victims and to clients who are unlikely to survive due to the severity of their injuries and the level of available care

Answer 152

Black tags

Question 153

tag is given when the client has serious, potentially life-threatening injuries that would be treated immediately if there were capacity to do so but the client can likely survive without immediate treatment

Answer 153

yellow tag

Question 154

tag is given for relatively minor injuries whose status is unlikely to deteriorate

Answer 154

green tag

Question 155

the basic level of infection control precautions that are used in the care of all clients?

Answer 155

standard precautions